Study of indicators of young patients’ dental health and their correlation with dental cervical pathology
Keywords:
hyperesthesia, erosion, wedge-shaped defect, cervical caries, gingival recessionAbstract
Introduction. Dental health is an important component of a person’s overall health. Objectives. To assess young patients’ dental status, analyze possible correlations between its indicators and dental cervical pathology. Materials and methods. The survey of 272 people (174 women and 98 men) aged 18-44 years included a clinical examination, an index assessment of the condition of dental hard tissues and periodontium and identification of the level of oral hygiene. Depending on the type and presence of dental cervical pathology the patients were divided into the study groups. Results. The prevalence of dental caries among the examined was high (92.6%), the intensity corresponded to the average level (CFE of teeth 8.34±5.27). Patients with erosion (E) were diagnosed with local enamel hypoplasia 6.9 times more often than patients with wedge-shaped defect (WSD), and 3.6 and 5.8 times more often when compared with patients with cervical caries (CC) and without cervical dental pathology, respectively (p<0.05). A correlation was observed between the development of local enamel hypoplasia and E, systemic enamel hypoplasia and CC (p<0.05). The prevalence of inflammatory diseases of periodontal tissues was 64.0%. The average indicators of PMA index corresponded to a mild degree of severity of gingivitis. Gingival recession was diagnosed 4.8 times more often in patients with associated dental lesions than in patients without cervical pathology. A correlation between gingival recession and WSD was observed (p<0.001). In the examined with WSD, gingival recession was diagnosed 2.8 and 5.6 times more often when compared with the examined with CC and without dental cervical pathology, respectively. Gum recession increased the prevalence and intensity of hyperesthesia (p<0.05). A correlation was determined between the values of the bleeding gums index and the indices of plaque Green-Vermillion and Sillness-Loe (p<0.05). Conclusions. A significant number of those examined required comprehensive treatment of dental pathology and professional oral hygiene. It is recommended to take into account the established correlations between the indicators of dental health and dental cervical pathology when developing therapeutic and preventive measures to increase their effectiveness at the individual level.
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